Surgical scar
I previously underwent surgery at a plastic surgery clinic for gynecomastia, and the hospital recommended a surgical excision method.
The doctor informed me that the scars would not be very noticeable, but it has been over six months, and the scars are still quite prominent, causing me greater distress.
I am wondering if there are any methods to reduce or eliminate these scars.
I am about to enlist in the military, and if the scars remain very noticeable, I fear I will be seen as an outlier.
Doctor, please help me and let me know how I can improve this situation...
I sincerely request your assistance.
Kunrao, 20~29 year old female. Ask Date: 2001/12/17
Dr. Luo Qihua reply Plastic Surgery
The visibility of scars is greatly influenced by individual physiology.
What a physician can do is to use surgical methods to narrow wide scars, making them less noticeable.
You should discuss the possibility of scar revision surgery directly with a plastic surgeon.
However, it is important to note that scars cannot be completely eliminated.
Reply Date: 2001/12/17
More Info
After undergoing gynecomastia surgery, it is understandable to be concerned about the visibility of surgical scars, especially when preparing for significant life events like joining the military. While it is common for scars to take time to mature and fade, there are several effective methods to help reduce their appearance.
Understanding Scarring
Scarring is a natural part of the healing process after any surgical procedure. The body produces collagen to repair the skin, which can lead to raised, discolored, or thickened areas known as hypertrophic scars or keloids. Factors influencing scar formation include genetics, skin type, the location of the incision, and the surgical technique used.
Effective Ways to Reduce Surgical Scars
1. Silicone Gel Sheets or Silicone Gel: These products are widely recommended for scar management. They work by hydrating the scar and creating a protective barrier that can help flatten and soften the scar over time. Applying silicone gel sheets or gel consistently for several weeks can yield noticeable improvements.
2. Scar Creams and Ointments: Over-the-counter creams containing ingredients like vitamin E, onion extract (found in products like Mederma), or other scar-reducing compounds may help improve the appearance of scars. However, results can vary, and it is essential to be patient and consistent with application.
3. Massage Therapy: Gently massaging the scar tissue can help break down collagen fibers and improve blood flow to the area. Using a moisturizing lotion or oil during the massage can enhance the effectiveness. It is advisable to consult with a healthcare provider for guidance on the appropriate technique and timing for scar massage.
4. Laser Therapy: For more significant scarring, dermatologists may recommend laser treatments. These can help reduce redness, flatten raised scars, and improve skin texture. Multiple sessions may be required, and it is essential to discuss potential risks and benefits with a qualified professional.
5. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, promoting collagen production and improving the appearance of scars. It is typically performed by a licensed dermatologist or aesthetician.
6. Chemical Peels: Chemical peels can help exfoliate the top layer of skin, promoting new skin growth and potentially improving the appearance of scars. This treatment should be done by a professional to ensure safety and effectiveness.
7. Sun Protection: Protecting the scar from sun exposure is crucial. UV rays can darken scars, making them more noticeable. Use a broad-spectrum sunscreen with an SPF of at least 30 on the scarred area when exposed to sunlight.
8. Consultation with a Dermatologist: If over-the-counter options do not yield satisfactory results, consider consulting a dermatologist. They can assess your scars and recommend more advanced treatments tailored to your specific needs.
Additional Considerations
- Time: Remember that scars often improve with time. The maturation process can take up to a year or more, during which the scar may become less noticeable.
- Healthy Lifestyle: Maintaining a healthy diet, staying hydrated, and avoiding smoking can support overall skin health and healing.
- Follow-Up Care: Regular follow-up appointments with your surgeon or dermatologist can help monitor the healing process and address any concerns.
In conclusion, while surgical scars can be a source of anxiety, there are numerous effective strategies to minimize their appearance. By employing a combination of topical treatments, professional therapies, and diligent sun protection, you can significantly improve the look of your scars. If you have further concerns or specific questions about your situation, do not hesitate to reach out to your healthcare provider for personalized advice.
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